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Fabrication know-how

Discover know-how/tips/cautions shared by aligner fabricating experts

We will inform you of design know-how that can make clear aligner with high success rate.

Design process

Clear aligner design is divided into 3 stages: Segmentation > Setup > Modeler.

Segmentation

This is the process of separating teeth and gums.
We provide know-how to maintain the shape of the patient's teeth.

When segmenting only partial teeth(eg, want to setup only anterior, etc.)
Since a non-segmented tooth is recognized as a gum, it is segmented by +1 compared to the tooth to be moved to prevent morphing.

Deformation of premolars due to morphing

+1 segmentation

Setup

This is the process of moving teeth arbitrarily to make clear aligner.

Space

Because the teeth do not move when contact occurs between teeth, to prevent contact, there must be space for the teeth to move.

Incompatible setup
Compatible setup

How to make space

Expansion

Depending on the tooth crowding, expansion through the whole movement including the tooth root, or through torque adjustment.

#11-21 0.30mm, #13-14 0.3mm, #23-24 0.30mm IPR

IPR

After final setup by distributing the overlap amount evenly, note the teeth and amount to be IPR.

The minimum thickness of enamel layer is usually 1mm, and half can be removed.

Tooth no. (FDI)111213141516
IPR (mm)0.50.30.50.50.50.5
Tooth no. (FDI)414243444546
IPR (mm)0.30.30.50.50.50.5

Layer

If you setup without a layer, it will interfere with adjacent teeth, so you must use and setup with a layer.

Setup without layer
Setup with layer

Setup protocol: Expansion > Alignment > Retraction

Overcorrection

Due to the physical characteristics of clear aligner, overcorrection is required because the teeth do not move to the target position due to the deformation of the device. Overcorrection more than the target position within 0.1 mm of overlap or 0.2mm of movement.

How to select the sheet

Depending on the sheet, it can be changed how to divide the layers.

Sheet Usage Examples
Standard Sheet3-Layer Sheet
Medium (1 week) + Hard (1 week)
(2 weeks per stage)
Soft (1 week) + Medium (1 week) + Hard (1 week)
(3 weeks per stage)
Hard sheet (10–14 days per stage)
0.4–0.6 mm of tooth movement per stage0.6–1.0 mm of tooth movement per stage0.25–0.3 mm of tooth movement per stage
Desired treatment outcomes can be achieved with fewer stages, resulting in higher satisfaction for both clinicians and patients.Allows greater tooth movement per stage.Provides stable tooth movement with smaller increments.
ItemStandard Sheet3-Layer Sheet
StructureSingle-layer PETG materialSandwich structure with rigid outer layers and an elastic inner layer
Orthodontic ForceOrthodontic force decreases significantly over timeThe elastic inner layer allows a more gradual decrease in orthodontic force and helps maintain force over time
ComfortLower elasticity may cause discomfort or a stronger sense of pressureSuperior elasticity provides better comfort during wear
DurabilityRelatively higher risk of deformation and crackingThe elastic inner layer provides excellent shape recovery and greater durability
CostRelatively inexpensiveRelatively expensive
Available ThicknessesSoft - 0.5 mm (0.02 inch)
Medium - 0.625 mm (0.025 inch)
Hard - 0.75 mm (0.03 inch)
Hard - 0.75 mm (0.03 inch)

How to set step

How to calculate the total treatment period

Total number of steps
(If the number of upper and lower steps is different, it is based on the long step)
x Weeks per step according to sheet selection

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